Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced Required Annual Inspection. LPA was greeted and allowed entry into the facility by Caregiver Deliliah Barajas whom LPA discussed the purpose of the visit. A short time later House Manager Skye Hampton and Administrator Kristen Hollobaugh joined the inspection.

According to the facility’s license, the facility has a maximum capacity of six (6) clients all of which are ambulatory. During today’s inspection, all six (6) clients in care where present.

LPA, accompanied by the Caregiver Barajas, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. Personal Protective Equipment (PPE) was present. The facility's Corporate office also houses a bulk stock of PPE. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was 75 degrees Fahrenheit. The last fire drill was conducted on November 12, 2024. Hot water temperature measured at 116.8 degrees Fahrenheit at taps accessible to clients.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored and unexpired. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, the fireplace is inoperable and screened.. Medications were delivered by a pharmacy in bubble packs, labeled as required, and stored in a locked cabinet. The facility uses the electronic MAR for documentation of administration.